Payer Credentialing Manager jobs in United States
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Strive Rehabilitation Partners · 4 hours ago

Payer Credentialing Manager

Strive Rehabilitation Partners is committed to delivering exceptional behavioral health and rehabilitation services. They are seeking a Credentialing Manager to oversee all aspects of payer credentialing, enrollment, and maintenance for their clinician workforce and practice entities, ensuring timely and high-quality care for the communities they serve.

Hospital & Health Care

Responsibilities

Manage end-to-end credentialing and payer enrollment for clinicians and practice entities across Mental Health Houston and Strive Rehabilitation
Maintain and update provider records in CAQH, NPPES, payer portals, and internal tracking systems
Monitor recredentialing timelines, license renewals, certifications, and compliance requirements
Coordinate with HR, billing/revenue cycle, clinical leadership, and external partners to ensure credentialing accuracy and timeliness
Proactively resolve credentialing delays or payer follow-ups to prevent reimbursement interruptions
Produce reports on credentialing status, progress, and outstanding items for leadership

Qualification

Healthcare credentialingPayer enrollment rulesCAQH managementCredentialing softwareOrganizational skillsCommunication skillsDetail-orientedIndependent workCollaborative work

Required

10+ years of healthcare credentialing experience, preferably in mental health, rehabilitation, or multi-specialty practices
Strong understanding of payer enrollment rules, CAQH management, Medicare/Medicaid processes, and commercial plans
Excellent organizational, communication, and follow-through abilities
Detail-oriented with the ability to manage multiple credentialing tracks and deadlines
Ability to work independently and collaboratively in a growing, multi-state practice

Preferred

Experience with credentialing software and credentialing tracking tools preferred

Benefits

Comprehensive benefits package for full-time employees (health, dental, vision, PTO, retirement match)

Company

Strive Rehabilitation Partners

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At Strive Rehabilitation Partners, we specialize in integrated psychological care within hospital-based acute inpatient rehabilitation settings.

Funding

Current Stage
Early Stage
Company data provided by crunchbase